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ANNEX A

No.: __________

Republic of the Philippines


Department of Education

TRAVEL AUTHORITY FOR OFFICIAL TRAVEL

NAME RINA P. GERNALI

Position/ Designation TEACHER - II

Permanent Station KIKILO NATIONAL HIGH SCHOOL

Purpose of Travel
(must be supported by SUBMIT FORM 7 & 48 AND GET PAYSLIPS.
attachment)

Host of Activity

Inclusive Dates NOV. 4, 2022

Destination DEP ED LEYTE DIVISION,PALO,LEYTE

Fund Source MOOE Fund

I hereby attest that the information in this form and in the supporting documents attached hereto are true and correct.

RINA P. GERNALI NOV.3,2022


__________________________________________________ ___________________
Name and Signature of Requesting Employee Date

This is to certify that the trip of the requesting employee satisfies all the minimum conditions for aurhorized official travel and
that alternatives to travel are infufficient for purpose stated herein.

YOLANDA M. VERRA
________________________SCHOOL HEAD__________________________ ___________________
Name and Signature of Recommending Authority Date
Republic of the Philippines
Department of Education (DepEd)
Region VIII (Eastern Visayas)
LEYTE DIVISION

ITINERARY OF TRAVEL

No. Date: NOV.4,2022


Name: RINA P. GERNALI Position: TEACHER - II
Official Station KIKILO NATIONAL HIGH SCHOOL Residence: ABUYOG, LEYTE
Purpose of Travel: Please refer to attached travel order.

TIME OF
DATE Means of Transpor Per
PLACES TO BE VISITED Others TOTAL
DEPARTURE ARRIVAL Transportation tation Diem

DIVISION OFFICE,
NOV. 4, 2022
CANDAHUG, PALO,LEYTE
5:30 AM 6:00 PM VAN 820 600 1,420.00

1,420.00

I hereby certify that (1) I have reviewed the Prepared by: (Official Employee)
foregoing itinerary (2) the travel is necessary for the
service (3) the period covered is reasonable, and (4)
the expenses claimed are proper.
RINA P. GERNALI
Approved: TEACHER - II

YOLANDA M. VERRA
SCHOOL HEAD

DREAM for future… BELIEVE on oneself… SURVIVE for progress…


Republic of the Philippines
Department of Education (DepEd)
Region VIII (Eastern Visayas)
LEYTE DIVISION

CERTIFICATE OF TRAVEL COMPLETED

YOLANDA M. VERRA KIKILO NATIONAL HIGH SCHOOL


Agency Head Station
SCHOOL HEAD NOV. 4, 2022
Designation Date

I certify that I have completed the travel authorized in itinerary of travel no.
dated NOV.3,2022 under conditions indicated below:
[x] Strictly in accordance with the approved itinerary
[ ] Cut short as explained below. Excess payment in the amount o 1,420.00
was refunded under O.R. No. __________ date NOV.5,2022
[ ] Extended as explained below. Additional itinerary was submitted.
[ ] Other deviations as explained below.

Explained or justifications:
Private vehicle is used and no reimbursement of the cost of gasoline and fuel.
Reimbursement of fare is only equivalent cost of the customary mode of transportation.

Evidences of Travel:
[ ] Used Tickets
[x] Certificate of appearance
[ ] Other ________________________

Respectfully yours,

RINA P. GERNALI
TEACHER - II

On evidence and information of which I have knowledge, the travel was actually undertaken.

Approved:

YOLANDA M. VERRA
SCHOOL HEAD

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